...Read the following case study regarding an adverse trend in a health care setting. An elderly patient has been admitted to the medical/surgical unit from the local nursing care facility. The new lab results in her electronic health record (EHR) indicate that she has methicillin-resistant Staphylococcus aureus (MRSA) in her urine. She is placed on contact precautions per the hospital guidelines. The health care provider arrives to examine her new patient and inquires about the need for contact precautions. The nurse explains the lab results reveal the patient has MRSA in her urine. The health care provider states that she reviewed the patient's lab results in the emergency room and the urine results were normal. The unit coordinator reveals to the staff nurse and nurse manager that this is the third incident this month of lab results being uploaded to the wrong patient's EHR when admitted from the emergency department. Write a 1,050 to 1,400-word paper based on the case study in which you: Analyze the adverse trend, including how it affects patient care. Evaluate the data that needs to be collected, reviewed, and applied in the decision-making process to address the adverse trend. Evaluate the information system methods that will be used to collect the data needed in the decision-making process, including the source(s) of the data. Evaluate the information technology and tools needed in each step of the decision-making process. Evaluate any regulatory, legal, ethical...
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...Adverse Trend: Telecare Abandonment of Calls Cindy Roloff HCS/482 August 4, 2014 Lynn Bertsch Adverse Trend: Telecare Abandonment of Calls Utilization of data to resolve an adverse trend is a form of process improvement that has a basis in factual and representable information. Upon identification of an adverse trend, there must be relevant data collection to determine an etiology prior to taking action. Technology can assist with this search to expedite the improvement process. The purpose of this paper is to discuss applying technology to create an objective response to the adverse trend of abandoned calls in the Telecare clinical setting. Telecare Overview Telecare triage nurses manage symptom-based calls from patients at the Department of Veterans Affairs (VA) Outpatient Clinic incoming call center. Currently, there are seven nurses that staff telephone triage with a volume of approximately 250 to 300 calls per day. The office hours in Telecare are Monday through Friday from 8:00 a.m. to 4:00 p.m. with observance of all federal holidays. The Telecare nurse is responsible for answering calls efficiently at approximately 32 calls per day. The Telecare nurse triages symptoms from the patient and obtains urgent access to the clinic via an evidenced based triage program called Veteran’s Health Gateway (VHG). This program helps the nurse make clinical decisions per protocols and provides evidenced based education recommendations based on the triage disposition...
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...Adverse Events and Data Management Alice Robertson HCS/482 January 19, 2015 Kym Pfrank Adverse Events and Data Management The term “adverse event” describes harm to a patient as a result of medical care. An adverse event indicates that the care resulted in an undesirable clinical outcome and that an underlying disease did no cause the clinical outcome. Adverse events include medical errors, such as the use of incompatible blood products, incorrect dispensing and administration of medications. Medication errors can result in patient harm including death. Adverse events, near misses, incidents of any kind are to be reported and put in a system called Incident Response Improvement System (IRIS). All IRIS reports get reviewed by a primary reviewer and the risk manager daily. They follow up on all reports and see trends happening whether it is weekly or monthly. They are also able to compare trends from any time period they select. If trends are seen it is imperative to follow up with staff to find out why there is a rise. What can we do to make sure these events never happen again? These reports get printed in a flow sheet and are shared daily in our safety huddles. The reports stay opened until closed by the appropriate managers. Each report is followed up by the risk manager and will not be closed until each issue is fixed or corrected. Adverse drug events according to the Center for Disease Control and Prevention cost 3.5 million in extra medical costs each year...
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...Adverse Trend and Data Management University of Phoenix Health Care Informatics HCS482 Richard Ong September 23, 2013 Adverse Trend and Data Management Part I: Step by step guide: Adverse Trend: Immobility. Immobility in hospitalized patients is one of the main risk factors contributing to the development of pressure ulcers. Objective: Identify risk factors related to complications secondary to immobility such as pressure ulcers on the integumentary system. Immobility also leads to other adverse effects affecting cardiovascular system, respiratory system, and musculoskeletal system as well. The assessment is performed on admission data, then once a week. The risk assessment scale used was the Risk Assessment Pressure Sore (RAPS) scale, which includes the following variables; general physical condition, activity, mobility, moisture, food intake, fluid intake, sensory perception, friction and shear, and body temperature (Lindgren & Unosson, 2004). Results: 25 % of patients developed pressure ulcers. Non-blanchable erythema was the most common pressure ulcer noted among these patients. The majority of these patients were significantly older, and hospitalized for a longer period of time. In the analysis using variables included in the RAPS scale, immobility emerged as a major risk factor. Conclusion: Immobility is the main cause of pressure ulcer development among adult hospitalized patients. Part II: After reviewing patient’s charts and documentation...
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...Running Head: Public Health Information Understanding Public Health Information [Name of Writer] [Name of Institute] Table of Contents Introduction 2 Health Indicators 2 Health facilities 2 Deprivation levels and Other Issues of Health 4 Strengths & Limitations of the Data Types & Sources 6 Health Needs of Dudley 7 References 10 Appendices 12 Understanding Public Health Information Introduction The continuous development of health facilities is one of the primary responsibilities of the administration of Dudley. The economic as well as psychological prosperity among the citizens of a country can be only availed by their satisfaction over the services of the government (James, 2009). Therefore, this report will analyze the significant health issues in Dudley in comparison to the national level. The core indicators of health issues among the citizens of Dudley on the basis of appropriate classifications will be analyzed in this report. The vast number of indicators will then be used to identify the appropriate strategy for the administrators of Dudley in order to maintain a trend of balanced health facilities and avoid further issues related to the health of citizens. Health Indicators Health facilities In order to analyze the performance of the health facilities, it is appropriate to analyze the health indicators of Dudley. The analysis of the performance in terms of health indicators such as life expectancy, deprivation...
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...Safe Staffing Examine Nurse-to-Patient Ratios Primary health care organizations such as New York Presbyterian (NYP) are impacted by low nurse-to-patient ratios. The recent implementation of the Patient Protection and Affordable Care Act (ACA) has required organizations such as NYP to explore many approaches to improve quality and patient outcomes that contain costs. “Numerous studies reveal an association between higher levels of experienced RN staffing and lower rates of adverse patient outcomes” (www.nursingworld.org, 2015, para. 1). For this reason, nurse-to-patient ratios is an issue that needs to be addressed at NYP in order to improve quality healthcare within their organization. The acuity of the unit in which patient care is being provided, should determine the acceptable nurse-to-patient ratio. According to the American Nurses Association (ANA), factors that influence the nurse staffing needs include: patient complexity, acuity, or stability; number of admissions, discharges, and transfers; professional nursing and other staff skill level and expertise; physical space and layout of the nursing unit; availability of or proximity to technological support or other resources ("Optimal Nurse Staffing," 2015). Currently, New York is one of only fourteen states that addresses the nurse staffing issue in hospitals. New York State requires organizations such as NYP to disclose their nurse-to-patient staffing ratios to the public; however the state does not require a minimum...
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...therefore, highly commendable to facilitate clinical decision making and effective problem solving schemes. The use technology also reduces the health care cost and improves the quality of health services. In recent years, health centers have been faced with complex decision making processes. Use of technology in this case simplifies the methodologies used in reaching crucial decisions. Technology allows the decision makers to track the data/trends and identify approaches for efficient patient care. According to Kolodner (2008) the use information technology offers much in managing health care costs and improving the quality of outcomes. The Information Technology Systems are used to capture, store, process and communicate the vital information to the decision makers for management of health care in all levels. These systems enhance the outcome of data used in the research of the effectiveness of specific health care services. Structured data entry, electronic patient records, and automated capture from diagnostic and monitoring equipments makes patient data collection easier and more accurate. Health care influences the quality of human life and their functionality within the society. According to Classen (1997) medical errors (procedural and interpretive errors) are dangerous, increase hospital stay and cost human lives. In order to reduce the errors, the use of information technology to highlight and monitor such...
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...Top Trends and Annotations Student’s Name Course Date Top Three Trends in Clinical Systems Training Instructor Profession The Clinical Systems Training Instructor profession corresponds to NAICS 611519, Medical Technician Schools, under Other Technical and Trade Schools. This industry is engaged in the provision of technical courses that lead to job-specific certification. Notably, the key concepts and terms related to researching, describing, and discussing the top three trends in the provision of instruction to clinical systems trainers include privacy, confidentiality, data security, risk management, accessibility, and data backup. This is because the industry’s top trends involve threats to clinical systems and confidentiality in the sharing and accessibility of patient information....
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...HEALTH & SAFETY: ACCIDENT RESPONSE, REPORTING AND INVESTIGATION PART NUMBER: SCOPE 923-3012-02 This document tells you how to respond immediately to an accident (an ‘adverse event’), and when and how to investigate and report accidents in the workplace. It helps ensure that the immediate response is appropriate, and that investigations are thorough and dispassionate, and preventative strategies can be put in place to prevent recurrence. AUDIENCE This document is for all employees of SAC. 923-3012-02 SAC Proprietary: Internal Use Only Health & Safety: Accident Response, Reporting and Investigation CONTENTS SCOPE ................................................................................................................................. 1 AUDIENCE ........................................................................................................................... 1 CONTENTS .......................................................................................................................... 2 1 2 INTRODUCTION ............................................................................................................. 4 RESPONSIBILITIES ....................................................................................................... 4 2.1 Executive Management Team ................................................................................. 4 2.2 Group Managers ............................................................................
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...Research question ............................................................................................................................ 4 1.3 Empirical approach.......................................................................................................................... 4 1.4 Main Findings.................................................................................................................................. 5 1.5 Overview ......................................................................................................................................... 5 Chapter 2: Literature review ..................................................................................................................... 6 Chapter 3: Data overview ....................................................................................................................... 12 Chapter 4: Empirical setup ...................................................................................................................... 14 Bulgaria............................................................................................................................................ 14 China ................................................................................................................................................ 14 Czech Republic...
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...consistent however; Minnesota and Wisconsin share a very similar pattern of weather. With that weather cycle, there inevitably will be accidents. These accidents can be caused by a number of factors, but weather is typically to blame in the majority of them. Other factors might include age, race, and gender. One thing is certain though, we believe that Minnesotans are the better drivers in inclement weather conditions and we intend to prove this through data collection and analysis. We believe that in the end, Minnesota will have the better drivers. Project Proposal Problem: Minnesotans and Wisconsinites continually complain about the weather and the drivers’ bad driving habits of the other state. We want to determine which of the two states have the most motor vehicle accidents during inclement weather conditions. We believe these accidents are due to outside conditions and that there will be a decrease in the amount of accidents during sunny conditions versus an increase in the number of accidents when there are adverse weather conditions such as overcast skies, rain storms, ice storms, or snow storms. We also believe that the age and gender of those drivers contribute to the amount of accidents. We are analyzing the associations of auto accidents in Minnesota and Wisconsin to prove Minnesotans have better drivers during inclement weather conditions. If Minnesotans do not, we will show that we have viable excuses...
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...quality of the data acquired from many hospitals throughout the state? Syndromic surveillance refers to methods relying on detection of individual and population health indicators that are discernable before confirmed diagnoses are made. Prior to the laboratory confirmation of an infectious disease, ill persons may exhibit signs, symptoms or laboratory findings that can be tracked through a variety of data sources. Data acquisition can be manual or automatic. Manual acquisition requires personnel resources like email a report or transfer a file, whenever data are to be transmitted. Automated processes may result in the transmission of a text report, a data file, or a series of structured messages over an error-tolerant interface that do not require human intervention to trigger each report. Developing systems such as web-based or handheld devices that allow providers to manually enter information at the time of patient care can help ensure the quality of data acquired from different hospitals. These systems allow more specific and complete patient syndromic information to be gathered and would enable better identification of patients who have the condition of interest. Developing standard formats to store or transmit data is another way of ensuring the quality of data acquired. 2) What would be the consequences of poor data quality on the intended uses of the data in the syndromic surveillance system? There are consequences of poor data on the intended uses of the data in the syndromic...
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...Health Care Issues in the United States Dr. Williams HSA 500 Introduction to Health Services October 24, 2010 1. Explain how health is affected by behaviors, economics, and social structure. The level of health is affected by factors of finance, culture, geography and other influences. When on is trying to obtain medical services there are several factors that need to take place as far as having adequate health insurance coverage. If someone does not have access to a good specialist for medical care, and this is due to lack of medical insurance or dependence on the local government. Due to the geographical location if the hospital is further away for those who have lack of public transportation or lack of their own mode of vehicle it creates a problem. Also in the cultural aspects, depending on how some patients feel they may not be comfortable with the level of skills used and practiced. Some patients will and have traveled to other countries for medical care. 2. Describe the three stages of medical technology development. The three stages of medical technology are: scientific background and development of the idea for a product; product development, approval, and distribution; and, diffusion, adoption, and utilization of the product. With the first stage of the development it involves a lot of basic science discoveries that provides fertile scientific environment from which useful products may one day they will eventually emerge. Without having the first stage...
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...acquiring and analyzing relevant business data for aid in making business decisions .The primary purpose of business research is to reduce risk of a marketing decision. Business Information system and decision support system simulate the business research process. A decision support system consists of business activities stored in an organized manner for retrieval .A business information system provide the manager with information about events and trends in different arenas . The emerging trends that affect business research include: Technology, economic, political, cultural, social and competitive arenas. Emerging hierarchy of research-based decision makers. Top tier which consists of visionaries where every decision is made and guided by business research. Middle tier which consists of standard decision makers where only some decisions are made by business research Base tier which consists of intuitive decision makers where decisions are made based on past experience. Types of research studies Reporting studies which provides data to achieve deeper understanding and generate statistics for comparison. Descriptive study which tries to answer the questions-who, what, when , where and sometimes how. Predictive study which attempts to predict when a certain event will occur. Explanatory study which attempts to explain the reasons for the phenomenon that the descriptive study only observed. Good research generates dependable data that is derived by professionally conducted...
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...The life expectancy and CO2 emissions share a strong, positive, linear correlation. Through analysis of this graph I can conclude that the two variables have a reverse cause and effect relationship. My reasoning for concluding this is that as life expectancy grows, the CO2 emissions that every person contributes to raises because there is a higher population. The first cluster between 15 and 20 in the chart above is a result of a hidden variable which would be time. The biggest data cluster between the 5 and 10 ton mark for CO2 emissions is due to World War 2. The reason that CO2 emissions per person dropped is because a large portion of Canadians died during this time and this brought the average CO2 emissions for the population down. The lowest outlier is also due to war and was the peak at which the population decreased so the CO2 emissions had gone down with...
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